Healthcare Provider Details

I. General information

NPI: 1205727583
Provider Name (Legal Business Name): ALLEGRA PSYCHIATRIC CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2025
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15915 S CRYSTAL CREEK DR STE E
HOMER GLEN IL
60491-9381
US

IV. Provider business mailing address

2501 CHATHAM RD STE R
SPRINGFIELD IL
62704-4188
US

V. Phone/Fax

Practice location:
  • Phone: 630-360-2336
  • Fax:
Mailing address:
  • Phone: 630-360-2336
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: ALLEGRA R CONNORS
Title or Position: OWNER
Credential: APRN
Phone: 630-360-2336